Elly Laroque M.D., Professional Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A79971 Issued in CA

Legal business name

ELLY LAROQUE M.D., PROFESSIONAL CORPORATION

Practice address

2299 Post St
Ste 107
San Francisco, CA 94115-3443

Phone

(415) 776-7878

NPI assigned

Sep 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elly Laroque, M.D.

Title

Owner

Phone

(415) 776-7878

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1467702969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "STE 107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153443",
            "telephone_number": "415-776-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "STE 107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153443",
            "telephone_number": "415-776-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLY LAROQUE M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "LAROQUE",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-776-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A79971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dormisha Roxanne Ellison
• Samuel Fred Ellison, MD
• Maria Ellman-Horvath
• Kateryna Elloumi
• Sarah Jane Ellsworth
• Ernest Elly
• Nikka Marie Elman
• Sammy Elmariah, MD, MPH
• Sarina Berger Elmariah, M.D, PH.D
• Samantha Liane Elmore, PA-C

• Orthopaedic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.